| NPI | 1245779792 |
|---|---|
| Doing Business As | EAST WEST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERESA TARD Business Manager 678-384-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN013527) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |